Diagnosis of Arteriovenous Malformation
Arteriovenous Malformation Diagnosis: Book Excerpts
Diagnostic Tests for Arteriovenous Malformation: Online Medical Books
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Jugular Venous Distension:
Differential Diagnosis
(In a Page: Signs and Symptoms)
-
Congestive heart failure
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Constrictive pericarditis
-
Cardiac tamponade
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Superior vena cava syndrome
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Tricuspid regurgitation
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Heart block (most often complete heart block)
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Atrial fibrillation
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Right ventricular infarction
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Tricuspid stenosis
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Right ventricular dilation
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Hypervolemia
Workup and Diagnosis
- History and physical examination
–Best to evaluate the right internal jugular vein
–Best seen in tangential light from foot of bed
–Venous pulsation can be obliterated with compression,
but arterial pulsation cannot
–Right atrium lies 5 cm below the sternal angle (reference
point)
–Normal central venous pressure ≤8–9 cm
–Hepatojugular reflex is a helpful adjunct in patients with
normal central venous pressure suspected of having right heart failure
-
ECG may reveal atrial fibrillation, ventricular tachycardia, right ventricular infarction, heart block, or other pathology
-
Chest X-ray may reveal signs of congestive heart failure or cardiomegaly
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Echocardiogram is helpful to evaluate for valvular disease, myxomas, and right ventricular dysfunction
-
Additional diagnostic testing depends on the suspected pathology
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Arteriovenous malformations:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Tests used to diagnose AVM include head computed tomography scan, cranial magnetic resonance imaging, and magnetic resonance angiography. An EEG may be performed if symptoms include seizures, but this test isn’t diagnostic of the specific area of the lesion.
Cerebral arteriogram confirms the presence of AVMs and evaluates blood flow. Doppler ultrasonography of cerebrovascular system indicates abnormal, turbulent blood flow.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
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